Current through December 3, 2024
Section 210-RICR-50-00-7.4 - Discharge CriteriaA. The long-term care facility must permit each resident to remain in the long-term care facility, and not transfer or discharge the resident from the long-term care facility unless: 1. The transfer or discharge is necessary for the resident's welfare and the resident's needs cannot be met in the long-term care facility;2. The transfer or discharge is appropriate because the resident's health has improved sufficiently so the resident no longer needs the services provided by the long-term care facility;3. The safety of individuals in the long-term care facility is endangered due to the clinical or behavioral status of the resident;4. The health of individuals in the long-term care facility would otherwise be endangered;5. The resident has failed, after reasonable and appropriate notice, to pay for (or to have paid under Medicare or Medicaid) a stay at the facility. a. Non-payment applies if the resident does not submit the necessary paperwork for third party payment or after the third party, including Medicare or Medicaid, denies the claim and the resident refuses to pay for his or her stay.b. For a resident who becomes eligible for Medicaid after admission to a long-term care facility, the long-term care facility may charge a resident only allowable charges under Medicaid; or6. The long-term care facility ceases to operate.B. Each long-term care facility must display a notice which identifies these transfer and discharge criteria and informs residents of their appeal rights. The notice should be prominently posted along with the Resident's Bill of Rights.C. This information must be provided to the individual both verbally and in a prominent manner in writing on a separate page at the time of admission. A written acknowledgment of the receipt of the notice, signed by the individual must be obtained.210 R.I. Code R. 210-RICR-50-00-7.4